Esogress D Capsule

• If you are allergic to esomeprazole or domperidone or any other ingredients of Esogress D capsule.
• If you have a blockage or tear in the intestines.
• If you are suffering from liver or kidney disorder.
• If you are suffering from bleeding in the digestive system.
• If you have any tumour of the pituitary gland (Prolactin pituitary tumours).
• If you have severe heart problems such as congestive heart failure, heart rhythm problems, electrolyte imbalance.
• If you are taking any medicine which might affect the contraction of the heart muscle (QT prolongation).
• If you are taking medicines such as Nelfinavir (used in HIV infection), Clarithromycin (antibiotic), Ketoconazole (antifungal) or Verapamil (used in high blood pressure and chest pain).

• Headache
• Nausea
• Vomiting
• Stomach pain
• Diarrhoea

Other General Warnings

• You have any liver and kidney-related diseases.
• You have a specific blood test (Chromogranin A).
• You experience black stools or have stomach tumour.
• You have a history of fractures or have osteoporosis or taking steroids.
• You develop skin lesions, especially in the sun-exposed area after taking this medicine.
• You are taking medicines to treat HIV or apomorphine (used to treat muscle stiffness).
• You have heart problems and associated symptoms like palpitations, difficulty in breathing, and unconsciousness.
• You experience stomach pain or indigestion, unexplained weight loss, have problems while swallowing, vomit out food or blood after taking this medicine.
• You have low levels of vitamin B12.
• You are on these capsules for long-term treatment (more than three months), your blood magnesium levels may decrease. Hence, your doctor may perform regular tests for the same.
• Esogress D capsule is not recommended for patients below the age of 18 years.
• Taking this medicine for more than one year may increase the chances of developing bone fractures.
• Esogress D capsule may lead to a slightly increased risk of bacterial infections due to Salmonella and Campylobacter.

• Esogress D capsule should be taken at least 1 hour before meals.
• It should be taken as directed by your doctor.
• Swallow it as a whole with a glass of water.
• Do not cut, break or chew the medicine.
• It is advisable to take the medicine at a fixed time for optimal results.
• You should not consume more than the dose prescribed by your doctor.

• Store Esogress D capsule below 25°C in a clean and dry place, protected from direct sunlight, moisture, and heat.
• Keep this medicine away from children and pets.

• Esogress D capsule is used to treat gastroesophageal reflux disease (GERD). GERD occurs when the stomach contents go back into the food pipe. Do not take this medicine for any other condition other than that specified by your doctor.
• Take this medicine in the exact dose and duration as recommended. Do not take more than the prescribed dose.
• Before starting Esogress D capsule, inform your doctor if you are pregnant, planning on becoming pregnant or breastfeeding. Also, inform your doctor about all other medicines that you take and your complete medical history.
• This medicine should preferably be taken before meals for optimum effectiveness.
• Headache, bloating diarrhoea and nausea/vomiting may occur in some individuals with the use of Esogress D capsule. Inform your doctor if the side effects do not resolve over time.
• You can make certain lifestyle modifications like preventing excess intake of foods that cause acidity like carbonated drinks and oily/fried food, regular exercise and maintaining a healthy weight.
• It is also advised to limit alcohol intake and quit smoking for better treatment of your acid reflux.
• If you experience sleepiness after taking Esogress D capsule, it is recommended to avoid driving, operating heavy machinery or performing any such tasks that require mental alertness.

Overdose

Missed a Dose

How Does It Work?

• Esogress D capsule is a combination medicine containing esomeprazole and domperidone as active substances.
• A pump called the proton pump in the stomach is responsible for the flow of stomach acids. Esomeprazole works by binding to this proton pump in stomach cells and blocking the acid secretion.
• Domperidone acts by increasing the motility of the stomach and intestines so that acid does not reflux back into the food pipe.

Interactions with other medicines

• Some medicines can affect the way Esogress D capsule works, or this medicine itself can reduce the effectiveness of other medicines taken at the same time.
• Tell your doctor about all the medicines, supplements, or herbals you are currently taking or might take to avoid any possible interaction.
• Esogress D capsule should not be taken concomitantly along with medicines such as nelfinavir (used to treat HIV infection), amiodarone (used to treat muscle stiffness), clarithromycin (antibiotic), ketoconazole (antifungal), or verapamil (used in high blood pressure, chest pain).
• This capsule should also not be taken along with medicines used to treat heart problems (quinidine, sotalol), psychiatric illness (haloperidol, citalopram), antifungals (pentamidine), antimalarials (halofantrine, lumefantrine), medicines used to treat allergies (mizolastine), medicines to treat in cancer (toremifene, vandetanib), gastric emptying medicines (cisapride) and other medicines like siphemanil and methadone.
• Concomitant use of this capsule with medicines used to treat psychiatric illness (diazepam), used to treat fits (phenytoin) is not recommended as it may increase the side effects of the medicines.
• Medicine used to treat heart failure like digoxin may lead to toxicity when taken with this medicine.
• If you are taking warfarin (blood-thinner) along with this medicine, caution is needed as there are chances of increased bleeding.
• Other medicines like rifampicin, methotrexate, tacrolimus, voriconazole, cilostazol, clopidogrel, azithromycin, St John's wort, etc. should be used cautiously along with Esogress D capsule.

Interactions with food items